Sunday, 30 August 2015

Letter to Psychologist - 31/08/2015

2009 we enrolled him into a preschool – our main objective was to socialise him more to assist with the delayed speech – he turned 4 in March and by June we already knew we had a problem.

He was struggling to communicate with the other kids – as his speech was behind their, his ability to play, participate and interact with the other kids was difficult. He would get annoyed because not only could they not understand what he was trying to say, but he was frustrated that he himself couldn’t find the right words to communicate effectively so that the teachers and kids could understand him. He would feel left out and as a result he would act up and do things he knew were naughty just to get the attention he was seeking. In his mind, negative attention was better than no attention. He would physically lash out and soon became the child all the other children would not play with to avoid getting hurt
We tried everything we could think of – another 18 months and things weren’t really looking up. In 2011, the year he turned 6 he entered kindergarten. Within the first month the school called me in and said they could see there were issues and that they would like us to have him tested and investigations done.

Firstly we enrolled him in speech therapy weekly to assist with learning letters and words and sounds so that he didn’t fall behind in class. We had his hearing tested – perfect. We had his eye sight tested, perfect. He had bloods taken to see if he perhaps had an imbalance of something, nothing wrong, all levels perfect.
He started off year 1 at the bottom level for everything, He was placed with a teacher who ran a special reading program for children who were struggling – she had had much success with children with reading difficulties.  Unfortunately this teacher disliked James from the very first day. She took a hard approach of negative comments and chastising for his inability to achieve the levels she needed him to. His entire day was spent listening to this adult woman throwing negativity at him for 6 hours a day.  Very quickly we started noticing our happy little boy, disappearing.  We were later to learn that this teacher was going through chemotherapy and was using James as her outlet for her frustrations of feeling ill at work.

It was at this point that our speech therapies suggested we take James to a developmental paediatrician to have him assessed for other possible issues that could potentially be rectified. One assessment later and we were advised that our son was very much on the ADHD spectrum. Although extremely against medication, I decided to do what the doctor felt was best for our son. 2 days later and it felt like our little boy had been given back to us.
It’s now been 3 years since that initial diagnosis and we’ve had much success with Concerta, but we do feel that things are very slowly slipping away from us once again. As James gets older we’re finding the areas of struggles are becoming broader but his reactions seem to remain constant. What I mean is that besides the constant struggles to have him eat and sleep, his mood swings seem to have become more prominent and noticeable.

We find his emotions are being driven more by his mood than by impulse. He lives most of his life in a state of movement – in that he is mostly unable to relax, slow down, eat or sleep and then there are days where he hardly moves at all. We are seeing so much more of the explosive angry reactions that he used to have, mood shifts without warning and such extremely contrasting moods, we’re often left baffled as to what just happened.  We used to joke that he could go from sad to happy in 2 seconds flat, but it seems he is doing more of the average mood to angry then to sad in 2 seconds flat.
He is struggling with homework. Despite sitting with him every single day and going through his homework (spelling and maths) he just cannot seem to do this on his own. His handwriting is illegible at the best of times.  When I sit with him and ‘do’ the work ‘with’ him he has no problem completing the work – his struggles come in mostly when he has to self-regulate getting through the work – he simply cannot. If I leave him to it, he ends up in tears and totally shuts down

This past weekend he had a short assignment to complete on the Great Barrier reef and his choice of 1 animal found there. We endured hours of him coming back to us stating that he simply didn’t know what to do or where to find the information. We persisted because we felt this was his ploy to getting back to playing games on his PC. He tried every trick up his sleeve to get out of doing the project – positive coaching, much direction and suggestion – eventually I had to sit with him ad do the work with him, which he managed to get through then without any hassle. I won’t always be able to help him like this with his work – he needs to learn to do this sort of work on his own.
A few hours prior to this, I decided that his bedroom, the ever present elephant in the room, needed to be cleaned out because I was worried there may be national hazard to health growing in there.  I had him empty out his entire closet of all the storage boxes (which separates all his toys) line then down the passage and the begin sorting out toys into their correct boxes.  Previously this sort of job would have taken him all day and we would have endured several meltdowns and crying but yesterday he managed to complete the entire exercise within an hour and a half – perfectly.

We are struggling with how sometimes he can do a job or task so easily and then the next time it becomes the mountain we can’t get over.
He is having similar issues at school – some days he has great learning days but lately, most days are not. Socially he has major issues with mixing with peers and making friends as well as playing games without having a meltdown.  I guess for the most part, school feel as we do, that we are consistently trying to help him help himself but there are days when he just seems disinterested in doing so for himself and it is extremely frustrating. We are all making accommodations for his ‘issues’ but it’s beginning to feel a bit like “give him a hand and he’ll take an arm”

At school I have initiated a few things to assist him, such as fidgets for when he can’t sit still, a bean bag ‘time out zone’ for when he quite simply just needs 5 minutes of quiet time when he is struggling with the loud noise that is school.  The teacher also regularly utilises him to run messages to the office to give him not only a break from the work, but an excuse to work off some of the excess energy. I have provided list upon list to the teacher regarding how best to handle him in the classroom and on the playground.
Honestly we’ve all reached a point of exhaustion that none of us seems to be able to break the surface of with James.

James is such an amazing kid. He is extremely creative and loves to draw. Very slowly we’ve been working on his tolerance of music because I know how calming It can be listening to music which I think he can benefit from. He is excessively loving and caring and would defend with his life, family and friends that he felt he could protect. He is quite emotional and feels empathy deeply.  He dislikes disappointment, his own and others to such an extent that he will punish himself without thought for making someone feel that way.  I’ve found the best way to tackle any and all situations, the good and bad ones, in a positive manner. Rather than focusing on what he has done wrong, we try to think about and work on what he could do right next time. Shouting, blame and punishment simply result in him shutting down which then takes hours to wean him out of.
I have found that given the opportunity, James will talk about anything and everything. He will ‘milk’ any situation for attention.  A stubbed toe will result in him telling people his leg is about to fall off. An incident that occurred last week will suddenly play on his mind that he will then force himself to cry about how that situation upset him, simply to get the attention of teachers. We don’t allow for this at home at all and as such a lot of what happens at school only happens at school. On Friday last week he was rubbing a leaf on his face during recess which he then ‘milked’ for a trip to sick bay with an ice pack during lesson time. When I asked him about it, he immediately jumped on the defensive stating that he had told them the itchy face was not from the leaves and that he didn’t want to go to sick bay for the ice pack, despite him actually doing this. It’s almost as if he uses hindsight (his mother’s voice of reason) to try and talk himself out of trouble.

I read recently that ADHD kids are prone to telling lies because it’s their immediate reaction to being asked a question as their brain hasn’t had enough time to process the correct answer.  I pointed this out to him and now whenever I ask him something and I know his response was a lie, I remind him to take a few seconds to think about his answer and thus far it’s been 100% effective. Problem is I can’t always be around him to remind him to do this and as a result the fibbing still continues when I’m not around.
Our house feels like it is being overrun by lists. He has lists on his door, on the fridge behind the front door etc. These visual cues seem to work for a few days but realistically I’ve wasted time putting them together and sticking them up. It went from me reminding him to do xyz to reminding him to check off his list – it really hasn’t made any difference to his ability to get anything completed on time or properly.

James’s currency seems to be electronics and games.  We have a no technology rule from Monday to Thursday in our house – not even the TV gets turned on. This doesn’t mean that he abides by this. Often we will find him sneaking into our room at night to retrieve my phone or the ipad which we’ve tried to keep away from him. On a Friday afternoon after school he knows that if he gets through his chores, he can then play computer games until I get home from work. (about 2 hours) In this situation, all chores are done with no hassle – why can’t he be like this all the time?!
We allow our boys 6 hours of technology time for the entire weekend – this includes computer games, TV/DVD watching/ phone time. They have to keep a time card of the time they spend, which we were hoping would assist not only with their time management but would also limit their technology use.  Our major difficulty with James is that unless someone is actively checking on his usage, he will simply play all day and then act like he had no idea he had gone over time. He always has an excuse. Our other matter is that we have a 14 year old who uses his computer for homework and assignments on weekends (he is inattentive ADHD) and at present we are regulating their technology use equally because of their constant comparison of time usage between themselves which is causing major arguments between them.

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